Individual
DR. JENNIFER T PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A155329
CA
207W00000X
Ophthalmology Physician
Primary
DR.0062452
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028968
KAISER COMMERCIAL NUMBER
CO
Enumeration date
11/19/2014
Last updated
12/06/2021
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